| NPI | 1275518540 |
|---|---|
| Professional Name | DETERRI ROCKWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0001024) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 1024) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2015-06-16 |